Insect bites and stings

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Insect bites and stings
Other namesBug bite
Aedes aegypti biting human.jpg
Aedes aegypti , the yellow fever mosquito, biting
Specialty Emergency medicine   OOjs UI icon edit-ltr-progressive.svg
Symptoms Swelling, itching, pain
Complications Anaphylaxis, envenomation, insect-borne diseases

Insect bites and stings occur when an insect is agitated and seeks to defend itself through its natural defense mechanisms, or when an insect seeks to feed off the bitten person. Some insects inject formic acid, which can cause an immediate skin reaction often resulting in redness and swelling in the injured area. Stings from fire ants, bees, wasps and hornets are usually painful, and may stimulate a dangerous allergic reaction called anaphylaxis for at-risk patients, and some wasps can also have a powerful bite along with a sting. Bites from mosquitoes and fleas are more likely to cause itching than pain.

Contents

The skin reaction to insect bites and stings usually lasts for up to a few days. However, in some cases, the local reaction can last for up to two years. These bites are sometimes misdiagnosed as other types of benign or cancerous lesions. [1]

Signs and symptoms

The left side of the image is showing the temperature increase caused by an insect bite after about 28 hours. Thermal effects of Insect bite by Volkan Yuksel IR001666.jpg
The left side of the image is showing the temperature increase caused by an insect bite after about 28 hours.
Low-magnification micrograph showing wedge-shaped perivascular inflammation (superficial dermal perivascular lymphoeosinophilic infiltrate), the histomorphologic appearance of an insect bite (H&E stain). Dermal perivascular lymphoeosinophilic infiltrate - very low mag.jpg
Low-magnification micrograph showing wedge-shaped perivascular inflammation (superficial dermal perivascular lymphoeosinophilic infiltrate), the histomorphologic appearance of an insect bite (H&E stain).

The reaction to a sting is of three types. The normal reaction involves the area around the bite with redness, itchiness, and pain. A large local reaction occurs when the area of swelling is greater than 5 centimetres (2 in). Systemic reactions are when symptoms occur in areas besides that of the bites. [2]

With insect stings a large local reaction may occur (an area of skin redness greater than 10 centimetres (4 in) in size). [3] It can last one to two days. [3] It occurs in about 10% of those bitten. [4]

Microscopic appearance

The histomorphologic appearance of insect bites is usually characterized by a wedge-shaped superficial dermal perivascular infiltrate consisting of abundant lymphocytes and scattered eosinophils. This appearance is non-specific, i.e. it may be seen in a number of conditions including: [5]

See also

Related Research Articles

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<span class="mw-page-title-main">Anaphylaxis</span> Life-threatening allergic reaction

Anaphylaxis is a serious, potentially fatal allergic reaction and medical emergency that is rapid in onset and requires immediate medical attention regardless of use of emergency medication on site. It typically causes more than one of the following: an itchy rash, throat closing due to swelling which can obstruct or stop breathing; severe tongue swelling which can also interfere with or stop breathing; shortness of breath, vomiting, lightheadedness, loss of consciousness, low blood pressure, and medical shock. These symptoms typically start in minutes to hours and then increase very rapidly to life-threatening levels. Urgent medical treatment is required to prevent serious harm or death, even if the patient has used an epipen or has taken other medications in response, and even if symptoms appear to be improving.

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<span class="mw-page-title-main">Stinger</span> Sharp organ found in various animals capable of injecting venom

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<span class="mw-page-title-main">Jack jumper ant</span> Species of ant

The jack jumper ant, also known as the jack jumper, jumping jack, hopper ant, or jumper ant, is a species of venomous ant native to Australia. Most frequently found in Tasmania and southeast mainland Australia, it is a member of the genus Myrmecia, subfamily Myrmeciinae, and was formally described and named by British entomologist Frederick Smith in 1858. This species is known for its ability to jump long distances. These ants are large; workers and males are about the same size: 12 to 14 mm for workers, and 11 to 12 mm for males. The queen measures roughly 14 to 16 mm long and is similar in appearance to workers, whereas males are identifiable by their perceptibly smaller mandibles.

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<span class="mw-page-title-main">Arthropod bites and stings</span> Medical condition

Many species of arthropods regularly or occasionally bite or sting human beings. Insect saliva contains anticoagulants and enzymes that cause local irritation and allergic reactions. Insect venoms can be delivered by their stingers, which often are modified ovipositors, or by their mouthparts. Insect, spider and scorpion venom can cause serious injury or death. Dipterans account for the majority of insect bites, while hymenopterans account for the majority of stings. Among arachnids spider bites and mite bites are the most common. Arthropods bite or sting humans for a number of reasons including feeding or defense. Arthropods are major vectors of human disease, with the pathogens typically transmitted by bites and rarely by stings or other contact. Another common negative effect is interference with military activity.

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References

  1. Allen, Arthur C. (March 1948). "Persistent "Insect Bites" (Dermal Eosinophilic Granulomas) Simulating Lymphoblastomas, Histiocytoses, and Squamous Cell Carcinomas". Am J Pathol. 24 (2): 367–387. PMC   1942711 . PMID   18904647.
  2. Goddard, Jerome (2002). Physician's guide to arthropods of medical importance . Boca Raton: CRC Press. pp.  14. ISBN   978-0-8493-1387-5.
  3. 1 2 Ludman, SW; Boyle, RJ (2015). "Stinging insect allergy: current perspectives on venom immunotherapy". Journal of Asthma and Allergy . 8: 75–86. doi:10.2147/JAA.S62288. PMC   4517515 . PMID   26229493.
  4. Maynard, Robert J. Flanagan, Alison L. Jones ; with a section on antidotes and chemical warfare by Timothy C. Marrs and Robert L. (2003). Antidotes. London: Taylor & Francis. p. 118. ISBN   9780203485071 . Retrieved 7 June 2016.
  5. Alsaad, KO.; Ghazarian, D. (Dec 2005). "My approach to superficial inflammatory dermatoses". J Clin Pathol. 58 (12): 1233–41. doi:10.1136/jcp.2005.027151. PMC   1770784 . PMID   16311340.